Critical Illness Clinical Trial
Official title:
Follow-up After Intensive Care Treatment: a Questionnaire Survey of Intensive Care Aftercare in Denmark.
This study aims to investigate current aftercare activities in Denmark after intensive care
unit (ICU) treatment. The hypothesis is that a large number of hospitals offer aftercare, and
these interventions are heterogenic and differ between hospitals and regions.
This study is an electronic questionnaire survey that aim to describe and map Danish
aftercare activities, and future development plans in this field.
Annually, more than 30,000 patients are admitted for treatment at Danish intensive care units
(ICUs). These critically ill patients are some of the most vulnerable in the health care
system.
For years, focus has primarily been on treatment and survival of this patient group. As
treatment effectiveness has gradually increased, the overall survival rate is now above 80%.
Consequently, the period following ICU discharge has gained increasing focus and follow up
interventions in the period after ICU treatment have become more common. These different
follow up interventions has given name to the concept of 'aftercare'. Aftercare activities
includes both early rehabilitation initiated during the continued hospital admission and also
the following rehabilitation after hospital discharge.
Complications after intensive care treatment are numerous, including both physical, cognitive
and psychological impairments, e.g. depression, muscle weakness, anxiety and social
isolation. Together these symptoms are defined as post intensive care syndrome (PICS).
While it is clear that a need for aftercare exists, the optimal evidence based activities
remains to be determined. The current follow-up activities are established as local
initiatives and the methods vary greatly. Examples of present aftercare interventions include
use of diaries, follow-up consultations, revisiting the ICU and assessment of quality of
life.
A recent systematic review examined these different rehabilitation efforts, without finding
significant effects of the present interventions, although usage of ICU-diaries had a minor
preventive effect on post-traumatic stress syndrome (PTSD). A Danish meta-analysis from 2015
on follow-up consultations showed similar results.
Aftercare is a rapidly developing area and it is necessary to further investigate this
important topic. Therefore, the investigators want to describe the current level of aftercare
with a new mapping of activities in all Danish ICUs. Hereby, the investigators hope to create
a better and up-to-date foundation for further development within Danish aftercare.
Furthermore, the investigators wish to research on the clinician-experienced (the
participants) attitude towards and limitations for aftercare activities, in order to discuss
directions for future development.
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